Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study.

Affiliation: College of Medicine and Health Science, Department of Midwifery, University of Gondar, P.O. Box 196, Gondar, Ethiopia.

ABSTRACTImproving maternal and newborn health through proper postnatal care services under the care of skilled health personnel is the key strategy to reduce maternal and neonatal mortality. However, there were limited evidences on utilization of postnatal care services in Ethiopia. A community based cross-sectional study was conducted in Debremarkos town, Northwest Ethiopia. Cluster sampling technique was used to select 588 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with postnatal care utilization. Odds ratio with 95% confidence interval was computed to determine the level of significance. Postnatal care service utilization was found to be 33.5%. Awareness about maternal complication (AOR: 2.72, 95% CI (1.71, 4.34)), place of delivery of last child (AOR: 1.68, 95% CI: (1.01, 2.79)), outcome of birth (AOR: 2.71, 95% CI (1.19, 6.19)), delivery by cesarean section (AOR: 4.82, 95% CI (1.86, 12.54)), and delivery complication that occurred during birth (AOR: 2.58, 95% CI (1.56, 4.28)) were factors associated with postnatal care service utilization. Postnatal care service utilization was found to be low. Increasing awareness about postnatal care, preventing maternal and neonatal complication, and scheduling mothers based on the national postnatal care follow-up protocol would increase postnatal care service utilization.

Mentions:
The single population proportion formula was used to calculate the sample size considering the following assumptions: proportion of women using postnatal care services 78.3% [12], 95% confidence level, 5% margin of error (absolute level of precision), and design effect of two in order to account for intercluster variability. In the recruitment of the study participants, the present study has undertaken cluster sampling technique. With this regard, minimum sample size required becomes 527. For possible nonresponse during the survey, the final sample size increased by 10%. Thus, including 10% nonresponse rate, the final sample size becomes 580. A lottery method was employed to select four of the seven cluster kebeles. Finally, all eligible mothers in the selected clusters were included in the study. This made the final number of respondents 588 (Figure 1).

Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community-Based Cross-Sectional Study.

Mentions:
The single population proportion formula was used to calculate the sample size considering the following assumptions: proportion of women using postnatal care services 78.3% [12], 95% confidence level, 5% margin of error (absolute level of precision), and design effect of two in order to account for intercluster variability. In the recruitment of the study participants, the present study has undertaken cluster sampling technique. With this regard, minimum sample size required becomes 527. For possible nonresponse during the survey, the final sample size increased by 10%. Thus, including 10% nonresponse rate, the final sample size becomes 580. A lottery method was employed to select four of the seven cluster kebeles. Finally, all eligible mothers in the selected clusters were included in the study. This made the final number of respondents 588 (Figure 1).

Affiliation:
College of Medicine and Health Science, Department of Midwifery, University of Gondar, P.O. Box 196, Gondar, Ethiopia.

ABSTRACTImproving maternal and newborn health through proper postnatal care services under the care of skilled health personnel is the key strategy to reduce maternal and neonatal mortality. However, there were limited evidences on utilization of postnatal care services in Ethiopia. A community based cross-sectional study was conducted in Debremarkos town, Northwest Ethiopia. Cluster sampling technique was used to select 588 study participants. Bivariate and multivariable logistic regression model was fitted to identify factors associated with postnatal care utilization. Odds ratio with 95% confidence interval was computed to determine the level of significance. Postnatal care service utilization was found to be 33.5%. Awareness about maternal complication (AOR: 2.72, 95% CI (1.71, 4.34)), place of delivery of last child (AOR: 1.68, 95% CI: (1.01, 2.79)), outcome of birth (AOR: 2.71, 95% CI (1.19, 6.19)), delivery by cesarean section (AOR: 4.82, 95% CI (1.86, 12.54)), and delivery complication that occurred during birth (AOR: 2.58, 95% CI (1.56, 4.28)) were factors associated with postnatal care service utilization. Postnatal care service utilization was found to be low. Increasing awareness about postnatal care, preventing maternal and neonatal complication, and scheduling mothers based on the national postnatal care follow-up protocol would increase postnatal care service utilization.